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目的探讨经脐单孔腹腔镜下治疗精索静脉曲张的效果。方法选取2013年1月~2014年1月于我院就诊的精索静脉曲张患者共48例。对48例患者实施经脐单孔腹腔镜手术。结果手术后12h,出现静脉曲张的情况得到有效改善,患者未出现腹胀的情况,平均手术时间单侧病变为22min,双侧病变时间为36min,伤口无需缝合,所有病例均痊愈。术后有8例患者出现并发阴囊积气、阴囊轻度水肿,但并未作处理,均在一周内恢复正常。术后2-3d患者均出院,对48例患者进行6~24月随访,患者左侧阴囊部位的静脉曲张情况得到有效改善,阴囊下坠感及下腹不适情况得到有效解决,患者脐部切口基本愈合,未出现脐疝,无明显手术痕迹,且无复发及睾丸萎缩情况发生。结论临床上采用经脐单孔腹腔镜下治疗方法治疗精索静脉曲张,术后患者脐部无明显痕迹,患者生活质量明显改善,具有良好的治疗效果临床应用价值。
Objective To investigate the effect of transperitoneal laparoscopic trans-umbilicus treatment of varicocele. Methods A total of 48 patients with varicocele were selected from January 2013 to January 2014 in our hospital. Forty-eight patients underwent transumbilical laparoscopic transumbilical surgery. Results The situation of varicose veins was effectively improved 12h after operation. The patient did not have abdominal distension. The mean operation time was 22min on one side and 36min on both sides. The wounds were not sutured and all the cases were cured. Postoperative 8 patients with concurrent scrotal pneumatosis, scrotal mild edema, but not for treatment, are returned to normal within a week. The patients were discharged from 2-3 days after operation, 48 patients were followed up for 6 to 24 months. The patients with varicose veins on the left side of the scrotum were effectively improved, the scrotum falling feeling and lower abdominal discomfort were effectively solved, and the umbilical incision healed basically , Did not appear umbilical hernia, no obvious signs of surgery, and no recurrence and testicular atrophy occurred. Conclusions The clinical treatment of varicocele by single-hole laparoscopic trans-umbilicus treatment shows no signs of umbilical cord injury, and the quality of life of the patients is significantly improved. It has a good therapeutic value in clinical application.